Unknown Individual – Diagnostic Radiology Physician, NPI 1710980123

Unknown Individual is a healthcare provider. based in Mobile, Alabama. specializing in Diagnostic Radiology Physician. They hold a License No. 9064 (AL). The NPI Number for Unknown Individual is 1710980123

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1710980123
Phone
(251) 460-0326
Address
PO BOX 91119
Deactivation Date
24 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2516331300
Graduation Year
1978 (48 years ago)
PAC ID
6608854575
Group Practice PAC ID
2365439528
Professional Enrollment ID
I20040708000974
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 91119

    MOBILE, AL 366911119

    Phone: (251) 460-0326

    Fax: (251) 460-2846

    Type: Mailing

  • Providence Hospital, 6801, Airport Boulevard, Huntleigh Woods, Mobile, Mobile County, Alabama, 36685, United States

    MOBILE, AL 366083709

    Phone: (251) 460-0326

    Fax: (251) 460-2846

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36691)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYAL73630X-ray of foot, minimum of 3 views1211

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365439528View full group profile
NameSpecialtyState
DR. NICHOLAS NATHAN SWEET (D.O.)
Diagnostic RadiologyFL
MR. KENNETH D BATTEN (M.D.)
Diagnostic RadiologyAL
MR. DAVID R. HASSELL (M.D.)
-AL
MR. CURTIS I II ADAMS (M.D.)
Diagnostic RadiologyAL

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1710980123 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Diagnostic Radiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Mobile, Alabama for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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